Individual
RYAN GUNDRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 BROADWAY STE 270, SEATTLE, WA 98122-5392
(206) 625-0578
(206) 625-9184
Mailing address
PO BOX 840842, DALLAS, TX 75284-0842
(206) 625-0578
(206) 625-9184
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
139454
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61267515
WA
Other
Enumeration date
01/14/2022
Last updated
02/23/2022
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